Oak Orchard Community Health Center, Inc. is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Lyndonville, New York. The current practice location for Oak Orchard Community Health Center, Inc. is 77 S Main St, Lyndonville, New York. For appointments, you can reach them via phone at
(585) 765-2060. The mailing address for Oak Orchard Community Health Center, Inc. is 300 West Ave, Brockport, New York and phone number is (585) 637-3905.
Oak Orchard Community Health Center, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1407189582. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(585) 765-2060.
Primary Care Clinic Profile
| Full Name | Oak Orchard Community Health Center, Inc. |
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| Speciality | Clinic/Center |
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| Location | 77 S Main St, Lyndonville, New York |
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| Authorized Official Name and Position | Mary Ann Pettibon (CEO) |
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| Authorized Official Contact | 5856373905 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Oak Orchard Community Health Center, Inc.
300 West Ave
Brockport
NY 14420-1118
Ph: (585) 637-3905 | Oak Orchard Community Health Center, Inc.
77 S Main St
Lyndonville
NY 14098-9771
Ph: (585) 765-2060 |
NPI Details:
| NPI Number | 1407189582 |
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| Provider Enumeration Date | 09/08/2009 |
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| Last Update Date | 07/09/2021 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 5496746927 |
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| Medicare Enrollment ID | O20090916000658 |
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Medical Identifiers
Medical identifiers for Oak Orchard Community Health Center, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407189582 | NPI | - | NPPES |
| 00355308 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Secondary |
| 261QM1000X | Clinic/center - Migrant Health | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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